Provider Demographics
NPI:1932311974
Name:FRIEDMAN, MARK AARON (MD)
Entity Type:Individual
Prefix:DR
First Name:MARK
Middle Name:AARON
Last Name:FRIEDMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:12855 N 40 DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63141-8657
Mailing Address - Country:US
Mailing Address - Phone:314-880-6100
Mailing Address - Fax:314-997-3248
Practice Address - Street 1:1027 BELLEVUE AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63117-1851
Practice Address - Country:US
Practice Address - Phone:314-645-6450
Practice Address - Fax:314-645-2560
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2020-11-10
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Provider Licenses
StateLicense IDTaxonomies
IL036125821207RC0000X
NY241994207R00000X
MO2010007399207UN0901X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear Cardiology